Possible Aspergers, waiting for diagnosis

Hi there,

Apologies in advance for the long post, but there is a lot to say! My son (now 6) is a kind, caring, and bright little boy, but since the age of about 3, has had increasingly challenging behaviour. At first we put this down to becoming a big brother and having less attention from Mummy and Daddy.

Howewver, as School loomed, we (and particularly my Wife) worried about how he would cope with his behaviour. Indeed, I hoped that he would calm down once he had the routine and structure of School to work in.

However, barely a term passed and we were hauled in by the head of infants and the class teacher as his behavour had tipped into the unaceptable and he was really in quite a bad place. THis was just prior to christmas a couple of years ago.

(He was using rude words incessently, calling out, disrupting the class - ruining his work deliberately, 'showing his tummy' to get a reaction).

We were by the school to seek an assesment, as the school particularly wer utterly desperate for some sort of guidance - a.

I must add that the School is a private one which will have some baring in what is available to us.

We duly went to the GP to ask for a referral for an assesment.  However, a couple of months later, we found out the GP had 'forgottoen' to send the referral on! So he hurridly sent the letter on!

It contained all the relevant details, about his behavour , but after a few weeks we received a rejection from the local NHS specialist department (Community Pediatrics or somthing liek that ). THey suggested that 'as his problems were mainly behaviour al, we should seek a CAF'.

Of course, we knew nothing of a 'CAF , other than that is where Eastenders get their breakfast from.

The GP hadnt a clue what to do either, and started writing letters all around to try and get some advice.

Eventually, through my own research, we found the early intervention team run by our council, and liasing with his school, we managed to eventually start the CAF process.

The main goal of the CAF was to get the assesment started, and to bring in measures to help our son with his problems.

We've now had about 3 or 4 TAF meetings,  since July. After the first meeting, and at the start of the Summer holidyys, we asked the GP to forward a referral again, stating that the CAF was in place.

Unfortunately the GP faffed and needed the school intervening to insist he refer as part of the CAF process. After another couple of months, he finally did so  (in september).

We havent formally heard back from the Pediatrician department yet but I have rung in several times to chase up the referral. 

They have it, but they admitted they hadnt yuet got a SPeech and Language therapist in place (they had not had one for most of the year!!). However, one was due to start this january (as in - now!) and we would get an appointment after they set up their new joint assesment service.

I rang again this month, only to be told there was 'a delay' and it would be March before the clinic started, and we'd hear then

Meanwhile, the school have been very supportive, and while our Son has made great progress, it is with caveats. His behaviour continues to be challenging, but the list of behaviours seems to be a checklist of Aspergers.

1. He becomes very distressed if there is a change of routine, like a diferent teacher, or a change in timetable - even when warned about it in advance.

2. He finds it hard making freinds, and often is left out.

3. He becomes very fixated with single subjects for long periods, intensely. EG. Christmas 2013 he was totally absorbed in the Planets , this christmas it's Minecraft. In between he has had facinations with Insects, biology, and so on. He rarely talks about anythign outside his own interests, and often assumes everyone else knows everything he does about the subject and only wants to talk about that.

3. He often blanks out - totally ignoring what people are saying, and when we get his attention cant remember what was said. Often when people say hello to him, he doesnt respond - even if he knows them. He might give the reason as ' didnt know who it was' even though they said. 

4. He Fidgets, makes noises, calls out inaprpopraite things during lessons, and tries to elicit reactions from other children.

5. He is very bright, and has an advanced reading age (they say it's the reading age of 9), is academically above average, although his handwriting is pretty por.

6. He has lots of anxieties. EG. He panicks if he cant get his socks on, or if his arm is stuck in the coat sleeve. He often cant sleep and keeps getting up with excuses. Rarely  beyond 10pm though - but he is always geting up in the middle of the night to go to the toilet - several times. 

7. He lines up his cuddly toys in bed, needs them in a certain order. He needs music on to sleep, a light, and a 'dream tablet (usually a sweet) - and needs us to 'relax him'. If any of these is missing, he freaks out and gets very upset indeed.

I could go on, but  from what we understand of the condition, and from his teachers experience with other children with the condition, he appears to be ASD/Aspergers.

SO we have an indeterminate wait for hsi assemsne,t as there is a significant backlog in the area.W

THe School are pushing hard for an assesment, but we are fearful of what will happen if he is dagnosed with Aspergers/ASD.:

Our fear revolves aroudn the fact that, as he is in a private school,, there are fewer resources available to them to assist. However, the smaller class size, and increased focus/availability of his familiar class teachers and TAs do seem to help. 
Ware are worried that if we have to remove him from his current seting to enable us to get access to apropriate support, he could end up in a setting that excaserbates his problems, and makes them worse. There are some great state schools locally, but they are full up - and there is no space. The onlu choices are the unpopular schools, one of which has been in turmoil lately after ofsted failed them, with high staff turnover.

So while we can afford his school fees at this level, we could never afford to privately fund Speech and Langauge therapy, or one to one support.

However, we are very worried that if we take him away from this, it could be throwing him out of the frying pan into the fire in terms of how his behavour will be affected. He has a wonderful teacher, the staff at his school are fab and have spent SO much time over helping with this - his Senco is amazing. We really couldnt have asked for more.  BUt we have the lingering feeling that they may refuse to help once his needs are clear, due to lack of funding and avaiability of support.

(already one of the staff has warned us that we need to think about perhaps his school isnt the best place for him, and reeled off a list of the things State schools can provide. However, my Wife is involved ins tate education and knows exactly what is realistically available, and it isnt quite so rosy - leading to increased anxiety from us)

Anyway, I am really just asking if we are being unreasonable with our expectation, or if anyone else is in the same boat?

We just want our Son to be happy, whatever condition he has.

Thanks for reading.

  • Hi thanks for replying,

    He's not got as far as even getting an appointment.

    Although there is a SLT for the area - they are not allowed to make appointments for referrals made prior to Jan 1st this year according to the pediatrics team. 

    We havent even been written to, to aknowledge the referral has been recieved.

    They intend to do a combined multidiciplinary assesment. They have the Pediatrican but not the SLT.

    While we have grave concerns about the capability of our GP, he has never failed to recognise Autism or have any issues referring him

    What we are worried about now is if we get the GP to refer again, we will simply have his new referral filed with the old one and still kept on the backburner by our local department.

    I am now researching PALS and ICAS for making a complaint, as this has been shoddy service.

     

     

     

  • Former Member
    Former Member

    Your GP is responsible for his healthcare. The buck should stop there and he/she should be doing the chasing. Go back and make your story clear and ask politely for something to be done pronto. If the GP is hopeless then you could move to a practice where autism is recognised and given the appropriate level of attention.

    It isn't clear from your post but was your son seen by a consultant paed for diagnosis? I would have thought that the SLT bit should follow a diagnosis unless they wanted the SLT to contribute to the diagnosis decision.

  • Update

    Things havent really moved on with the diagnosis, though he in himself is doing better.

    We have now formally closed our Son's CAF with the school. He has made very good progress in and out of lessons, and at home, and they are happy his behavuour is no longer a problem or affecting his learning.

    However, they have had to adjust to him, and are concerned that when he moves to secondary school, we may see a relapse. They are quite right in sayin gthat the familiar environment of the school, and the staff's familiarity with him help him cope . (Our son is in a private primary school with a smaller class, and the staff have lots of time for him. he's a very bright young man and is doing very well in all his subjects).

    However, we have hit a brick wall with getting him diagnised. With the trauma of last year - where the doctor A) Lost the initial referral letter B) We were rejected because 'it is mostly behavoural' - without him even being seen for that judgement! and C) The doctor sitting on the second referral letter for 2 months. W

    We finally got our son referred in October last year (10 months since initially visiting the doctor). However, our Local NHS failed to actually give him an appointment to see the pediatrician and speech and langua

    In fact, while it was agreed he would indeed get an assesment, they could not as they had no Speech and Language therapist in the pediatric outpatients in our local authority.

    One was appointed - to start this January - and then we would hear once the started clinic.

    January came and went - I had to keep ringing - no - they hadnt started yet. Wait until February.

    February, then march - then April. Each time I had to ring in to chase.

    Finally - I was told, that yes, defenitely - somone was in place, had started their job - and would start clinic in april - and we would then get an appointment.

    I finally rang yesterday and was told the following:

    "Yes, sorry - we are unable to give your son an appointment - as we have been told that the money for the speech and language therapist is not for people referred before January 1st - only new referrals can be given an appointment."

    The lady was very sorry, apologised prfousely. They werent even allowed to write to people on the list from the previous year to explain. It had come on high right at the last minute as they were starting th make appointments for people already on the list.

    I am absolutely floored. I cant beleive what I am hearing.

    At no point have I had any written confirmation of any of this - this is all through me chasing and ringing and ringing.


    How can they have  employed someone in a position left vacent for nearly a year, only to totally ignore the backlog and only work on new referrals?


    I was given the head of the Speach and Language therapy department's number to speak to, but she was unavailable. No doubt bombared by angry parents of children who have been waiting for a year for diagnosis or more!

    We now have Three options:

    1. Do nothing and wait and see (not an option really).

    2. Complain, and hope that by being a noisy parent we get him looked at sooner.

    3. Get him referred again. 

    I feel like I'm banging my head on the wall - though the saving grace is that our son is doing well. But we are obviously worried he will regress at some point and then without a diagnosis we wont be able to get anywhere!

    Our local authority is Kent.

    Any advice?

  • Unless you can get him into a specialised ASD school (don't go state, even with a 'specialist' ASD unit the situation in state schools means that while the SEN department are equipped to help your son, they are less likely to have staff with the neccessary training, there'll me more kids in the classroom making it even less likely he'll get the help he needs... list goes on) I'd say press on.

    If he does get diagnosed and the school kicks up a fuss, confront them about it. Being diagnosed isn't about defining what can't be done, it's about what -can- be done.

    In a smaller environment (I've never been to Private school or had anyone I know go to one) they are more likely to know the child, and know what will set him off. Knowing about his condition will help everyone to get on the same page in regards to coping strategies, how to avoid meltdowns....

    In regards to lack of funding, investigate whether the school gets a grant per student they have registered as disabled, if they do, then don't believe them in regards to 'lack of funding'. Also, if it is ASD, it isn't as though they'd need to invest in tons of brand new high-tech equipment to help. There's actually a lot of very simple but effective techniques that can help to keep someone with ASD calm and supported (even something like sticking them in front of a lava lamp in a quiet room with soothing music can do the trick).

    The thing is, people will try and tell you a diagnosis is a bad thing, and try to use it as an excuse to pass your son to someone else to 'deal with'. But you can't afford to see a diagnosis as a weakness or label, see it for what it is.

    It's a tool.

    Being diagnosed acknowledges your sons specific troubles. It also opens up a fountain of knowledge that you can adapt to him specifically. Usually if you stand your ground, then schools will adapt when it's clear you won't give them the 'easy' way out.

    I was diagnosed with Aspergers Syndrome as a teenager, and my younger cousin has ASD/Aspergers as well (though more severely). Both my mother and aunt stood up to our respective schools when they tried to move us to another school/refuse to make any changes to help us, and the schools eventually conceeded. It wasn't perfect, but it changed a lot for the better. People don't usually expect parents to be more informed on the subject than they are, knowledge is power.

    Best of luck, here's hoping your boy gets the help he needs.